Characteristics and factors associated with waiting time for rehabilitation in patients with amputation from a Peruvian referral hospital.

Authors

  • Roger De la Cerna-Luna Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.
  • Kenyo D. Sandoval Universidad Nacional de San Cristóbal de Huamanga, Ayacucho, Perú.
  • Adelayda Corilla-Bruno Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.
  • Melva Flores-Sierra Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.
  • Alvaro Taype-Rondan Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Perú; EviSalud - Evidencias en Salud, Lima, Perú.

DOI:

https://doi.org/10.35434/rcmhnaaa.2024.172.2019

Keywords:

Amputation, Waiting lists, Physical Medicine and Rehabilitation, Physical therapy, Peru

Abstract

Objective: To determine the characteristics and factors associated with waiting time for rehabilitation in patients with amputation from the Physical Medicine and Rehabilitation Department of Rebagliati Hospital. Materials and methods: Retrospective cohort with data from medical records between May 2017 and May 2019. Results: A total of 180 patients with amputation were included. 64.4% were 59 years or older, 78.9% were male, and 78.9% were new patients who had not been previously attended. 70.6% had amputation due to vascular causes. 85.6% had lower limb amputation, mostly above the knee. Prolonged waiting time for rehabilitation (three months or more) was more common in new patients or those aged 69 years or older. Conclusions: The majority experienced lower limb amputation, primarily due to vascular or traumatic causes. The median waiting time for rehabilitation was three months, being longer for new patients or those aged 69 and older.

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Author Biographies

Roger De la Cerna-Luna, Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.

1. Médico Fisiatra

Kenyo D. Sandoval, Universidad Nacional de San Cristóbal de Huamanga, Ayacucho, Perú.

1. Estudiante de Medicina Humana

Adelayda Corilla-Bruno, Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.

  1. Médico Residente de Medicina Física y Rehabilitación

Melva Flores-Sierra, Departamento de Medicina Física y Rehabilitación, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú.

  1. Médico Fisiatra

Alvaro Taype-Rondan, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Perú; EviSalud - Evidencias en Salud, Lima, Perú.

1. Médico Epidemiólogo

References

Farro L, Tapia R, Bautista L, Montalvo R, Iriarte H. Características clínicas y demográficas del paciente amputado. Rev Medica Hered. 2012;23(4):240-3. doi: 10.20453/rmh.v23i4.845

McDonald CL, Westcott-McCoy S, Weaver MR, Haagsma J, Kartin D. Global prevalence of traumatic non-fatal limb amputation. Prosthet Orthot Int. 2021 Apr 1;45(2):105-114. doi: 10.1177/0309364620972258

Yuan B, Hu D, Gu S, Xiao S, Song F. The global burden of traumatic amputation in 204 countries and territories. Front Public Health. 2023 Oct 20;11:1258853. doi: 10.3389/fpubh.2023.1258853

Ülger Ö, Yıldırım Şahan T, Çelik SE. A systematic literature review of physiotherapy and rehabilitation approaches to lower-limb amputation. Physiother Theory Pract. 2018 Nov;34(11):821-834. doi: 10.1080/09593985.2018.1425938

Webster JB, Crunkhorn A, Sall J, Highsmith MJ, Pruziner A, Randolph BJ. Clinical Practice Guidelines for the Rehabilitation of Lower Limb Amputation: An Update from the Department of Veterans Affairs and Department of Defense. Am J Phys Med Rehabil. 2019 Sep;98(9):820-829. doi: 10.1097/PHM.0000000000001213

Deslauriers S, Déry J, Proulx K, Laliberté M, Desmeules F, Feldman DE, Perreault K. Effects of waiting for outpatient physiotherapy services in persons with musculoskeletal disorders: a systematic review. Disabil Rehabil. 2021 Mar;43(5):611-620. doi: 10.1080/09638288.2019.1639222

Robinson LR, Tam AKH, MacDonald SL, Hanada EY, Berbrayer D, Abdullahi A, Camilotti BG, Tien H. The Impact of Introducing a Physical Medicine and Rehabilitation Trauma Consultation Service to an Academic Level 1 Trauma Center. Am J Phys Med Rehabil. 2019 Jan;98(1):20-25. Doi: 10.1097/PHM.0000000000001007

World Health Organization. Paquete de intervenciones de rehabilitación: módulo 2: afecciones musculoesqueléticas [Internet]. Geneva: World Health Organization; 2023 [Citado 22 de marzo de 2024]. Disponible en: https://www.who.int/es/publications/i/item/9789240071100

Escalante Gutiérrez D, Lecca García L, Gamarra Sánchez J, Escalante Gutiérrez G. Amputación del miembro inferior por pie diabético en hospitales de la costa norte peruana 1990 - 2000: características clínico-epidemiológicas [Internet]. Rev Peru Med Exp Salud Publica. 2003 [Citado 22 de marzo de 2024];20(3):138-44. Disponible en: http://www.scielo.org.pe/pdf/rins/v20n3/a05v20n3.pdf

Camacho-Conchucos HT. Pacientes amputados por accidentes de trabajo: características y años acumulados de vida productiva potencial perdidos. An Fac Med. 2010;71(4):271-5. doi: 10.15381/anales.v71i4.107

Cabezas C. Atención médica y de salud en el Perú. Rev Peru Med Exp Salud Publica. 2019;36(2):165-6. doi: 10.17843/rpmesp.2019.362.4620

Harding KE, Camden C, Lewis AK, Perreault K, Taylor NF. Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature. Health Soc Care Community. 2022 Nov;30(6):2057-2070. doi: 10.1111/hsc.13866

Deslauriers S, Raymond MH, Laliberté M, Lavoie A, Desmeules F, Feldman DE, Perreault K. Access to publicly funded outpatient physiotherapy services in Quebec: waiting lists and management strategies. Disabil Rehabil. 2017 Dec;39(26):2648-2656. doi: 10.1080/09638288.2016.1238967

Heyns A, Jacobs S, Negrini S, Patrini M, Rauch A, Kiekens C. Systematic Review of Clinical Practice Guidelines for Individuals With Amputation: Identification of Best Evidence for Rehabilitation to Develop the WHO's Package of Interventions for Rehabilitation. Arch Phys Med Rehabil. 2021 Jun;102(6):1191-1197. doi: 10.1016/j.apmr.2020.11.019

Salinas-Durán FA, V LFA, Muñoz-Rodríguez DI, Vélez-Jaramillo DA, Abaunza JMS, Lugo-Agudelo LH, et al. Guía de práctica clínica para el diagnóstico y tratamiento preoperatorio, intraoperatorio y postoperatorio de la persona amputada, la prescripción de la prótesis y la rehabilitación integral. Iatreia. 2016;29(4-S2):S82-95. doi: 10.17533/udea.iatreia.26864

Zhou J, Bates BE, Kurichi JE, Kwong PL, Xie D, Stineman MG. Factors influencing receipt of outpatient rehabilitation services among veterans following lower extremity amputation. Arch Phys Med Rehabil. 2011 Sep;92(9):1455-61. doi: 10.1016/j.apmr.2011.03.029

Rau CL, Tsai PF, Liang SF, Tan JC, Syu HC, Jheng YL, Ciou TS, Jaw FS. Using discrete-event simulation in strategic capacity planning for an outpatient physical therapy service. Health Care Manag Sci. 2013 Dec;16(4):352-65. doi: 10.1007/s10729-013-9234-2

Published

2024-06-23

How to Cite

1.
De la Cerna-Luna R, Sandoval KD, Corilla-Bruno A, Flores-Sierra M, Taype-Rondan A. Characteristics and factors associated with waiting time for rehabilitation in patients with amputation from a Peruvian referral hospital. Rev. Cuerpo Med. HNAAA [Internet]. 2024 Jun. 23 [cited 2024 Nov. 21];17(2). Available from: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2019

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